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BLS- CPR Instructor

QuestionAnswer
Course Introduction: What are the steps in the CHAIN OF SURVIVAL (Out of Hospital) Immediate recognition, Early CPR, Rapid Defibrillation, Effective ALS & multi-disciplinary post cardiac arrest care
What are the skills test requirements? Students must successfully pass: - Adult CPR with AED - Infant CPR Skills Test
What are the Exam Requirements Score at least an 84% in the exam
Can students have the Provider Manual accessable during the course? Yes.
How can you recognize that someone is in cardiac arrest? They may have unresponsiveness, no breathing (or no normal breathing or only gasping), and no pulse
What’s the next thing you should do after recognizing someone in cardiac arrest? Activate EMS or ask someone to do it
Why is high quality CPR so important? If started immediately after cardiac arrest- it can greatly improve the chances of survival. Untrained bystanders are encouraged to at least provide compressions (i.e. Hands Only CPR)
What is the purpose of an AED? It delivers a shock to terminate the abnormal rhythm and allow the heart’s normal rhythm to resume
Rapid defibrillation in combination with high quality CPR does what? It can double or even triple the chances of survival
What are some examples of effective ALS care for cardiac arrest? 12-Lead or advanced cardiac monitoring, electrical therapy interventions, gaining IV or IO access, giving appropriate drugs & placing an advanced airway
After ROSC is achieved - what is the purpose of multi-disciplinary healthcare? The focus is on preventing the return of cardiac arrest and tailor specific therapies to improve long term survival
What is the PEDIATRIC chain of survival? Prevention of arrest, early HQ CPR, rapid activation of EMS, effective ALS support, and integrated post-cardiac arrest care
In children - cardiac arrest is usually linked to what? Respiratory failure and shock
What is the difference between cardiac arrest and a heart attack? Sudden Cardiac Arrest: the heart develops an abnormal rythm and can’t pump blood Heart Attack: blood flow to part of the heart muscle is blocked
What is the compression to breaths ratio for single rescuer ADULT & CHILD 30 compressions to (2) breaths
Rescuer Adult BLS: How long should you feel for a pulse? No more than 10 seconds
Rescuer Adult BLS: How many breaths do you give an adult during rescue breathing? 1 breath every 5-6 seconds, or about 10-12 breaths per minute Deliver each breath over (1) second
Rescuer Adult BLS: Your patient has a pulse, but not breathing.. How often should you check for a pulse on an adult? About every two minutes - if no pulse, begin CPR
Rescuer Adult BLS: Is agonal breathing considered “normal breathing”? No. Agonal gasps May be present in the first minutes after cardiac arrest. A person usually looks like they are drawing in air very quickly
Rescuer Adult BLS: What is the compression rate for an adult? 100-120/minute
Rescuer Adult BLS: How deep are we compressing the chest of an adult in cardiac arrest? About 2 inches or 5 cm
Rescuer Adult BLS: What are the two methods for opening the airway? Head Tilt- Chin Lift or the Jaw Thrust
The air we breathe IN contains how much oxygen? 21%
The air we breathe OUT contains how much oxygen? 17%
When giving compressions- rescuers should switch after every? 5 cycles of HQ CPR (about every 2 minutes) - or sooner if fatigued
What are two life threatening arrhythmias that cause cardiac arrest? Pulseless Ventricular Tachycardia and Ventricular Fibrillation
What is Pulseless Ventricular Tachycardia The lower chambers of the heart (ventricles) are pumping so fast & inneficiently - that you can’t feel a pulse
What is Ventricular Fibrillation? VF is an arrest rythm - the heart’s rythm becomes disordered. The hearts muscles quiver in a fast & un synchronized way. The heart stops pumping blood
What is the purpose of an AED? It looks for a shockable rythm and prompts the user to deliver a shock to the heart in an effort to “reset” the electrical system of the heart. If a rythm returns & HQ CPR continues- the heart muscle can begin to contract/pump blood effectively...aka ROSC
How come you don’t normally attach the pads to the AED before turning it on? Because then the AED might accidentally analyze your rythm as you’re placing the pads on the patient
What’s the next step after a shock is delivered or no shock is advised? Immediately begin HQ CPR. After about 2 minutes - the AED will advise you to analyze the rythm and deliver another shock if needed.
Can you use child AED pads on an adult? No - the shock dose delivered by child pads is too small for an adult. It’s best to continue with HQ CPR than using child pads on an adult
What is Chest Compression Fraction? The proportion of time that chest compressions are performed during cardiac arrest. A chest compression fraction of 60% is recommended- a goal of 80% is often achievable with good teamwork
What are the 6 roles of a High Performance Team in CPR? Team Leader, Timer/Recorder, Airway, Compressions, AED, Administer Medications
Infants are classified under what age group? Less than (1) year of age - excluding newborns)
Children are classified under what age group? (1) year of age to puberty
Infant /Child BLS: How many breaths do you give a pediatric patient during rescue breathing? (1) breath every 3-5 seconds, or about 12-20 breaths/minute
Infant /Child BLS: What is the compression technique for an INFANT? 2-finger chest compressions
Infant /Child BLS: What is the compression technique for a CHILD ? 1 or 2 hands (whatever is needed to provide adequate depth)
What is the universal rate for compressions in all cardiac arrest victims? 100-120/minute
Is the compression-to-ventilation ratio the same for single rescuers on Adults, Children and Infants? Yes (30:2) * IF two rescuers are present for an infant or child - use 15:2.
How deep should you compress an infants chest during compressions? About 1 1/2 inches or 4cm
A pediatric dose attenuator reduces the shock by? About two thirds.
If child pads are not available- can you use Adult pads? Yes. Adult pads will deliver a higher shock dose, but is preferable over no shock given
Adult AED pads can be used on what age group? Victims 8 years of age or older
Child/Pediatric AED pads can be used on what age group? Victims less than 8 years of age
What is the compression-to-ventilation ratio when an advanced airway is in place on either an infant, child or adult? Continuous compressions without pauses for breaths 1 breath every 6 seconds (10 breaths per minute)
Rescue breathing for Adults 1 breath every 5-6 seconds (about 10-12 breaths per minute)
Rescue Breathing for Infants and Children 1 breath every 3-5 seconds (about 12-20 breaths per minute)
What techniques can be used to give breaths to infants? Mouth-to-mouth-and-nose Mouth-to-mouth
Created by: Jesus.G
 

 



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